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Cystitis technically means inflammation of the bladder. In practice, the bladder and urethra are often both inflamed. Many cystitis symptoms are really caused by inflammation of the urethra (urethritis).
See Urinary tract infections
Occurs in both men and women. Inflammation is triggered by physical or chemical damage, such as:
Recurrent attacks suggest an unusually sensitive bladder and urethral lining. After the menopause, lack of oestrogen causes these linings to become thinned and more susceptible to infection or injury. Interstitial cystitis (IC) A chronic inflammation of the bladder wall, more common in women. Causes frequency of urination (up to 60 x a day) and severe pelvic pain
Cystitis and Overactive Bladder Foundation https://www.cobfoundation.org
Urinary tract infections (UTIs)
A UTI is an infection of any part of the urinary tract, i.e.
Urine is usually sterile (but asymptomatic bacteriuria occurs in 20% of women) and most UTIs arise from E. Coli which normally lives in the colon. UTIs are:
and can be classified as:
UTI symptoms and signs
Lower UTI (cystitis, urethritis) can present with dysuria, frequency, urgency, haematuria. The urine can be cloudy with an unpleasant odour. In older people there may be generalised symptoms such as confusion and incontinence.
Upper UTI symptoms (pyelonephritis) are the same as lower UTI symptoms plus suprapubic pain or tenderness, pyrexia and possible rigors. The patient is likely to be ill and may need hospital admission.
Prostatitis may present with low backache, flu-like symptoms, urinary symptoms, swollen tender prostate.
NICE. Clinical Knowledge Summaries (CKS). Urinary tract infection (lower) - women; 2020 https://cks.nice.org.uk/urinary-tract-infection-lower-women
NICE CKS. Urinary tract infection (lower) - men; 2018 https://cks.nice.org.uk/urinary-tract-infection-lower-men
NICE CKS. Urinary tract infection - children; 2019 https://cks.nice.org.uk/urinary-tract-infection-children